Bovine: Ostetrics and Periparturient period Flashcards
When referring to ostetrical management, what does mutation mean?
a. Turning the fetus on its transverse axis into cranial or caudal position
b. Process by which fetus is restored to deliverable fashion
c. Presence of a fetal monster
d. Turning the fetus on its longitudinal axis
b. Process by which fetus is restored to deliverable positoin
When referring to ostetrical management, what does version mean?
a. Turning the fetus on its transverse axis into cranial or caudal position
b. Process by which fetus is restored to deliverable fashion
c. Presence of a fetal monster
d. Turning the fetus on its longitudinal axis
a. Turning the fetus on its transverse axis into cranial or caudal position
What’s this?
Head snare
What are these?
OB handles
What’s this?
Krey hook
What’s this?

Cornell detorsion rod
T/F: When using traction to pull out a fetus it is advisable to place equal traction on both forelimbs simultaneously.
False, can result in shoulder lock- should place traction on one then the opposite forelimb
What lube do you use for dystocia management?
a. KY Jelly
b. OB Lube
c. Uterus Lube
d. J-Lube
b. OB Lube
What can be done of the vulva fails to dilate during parturiton?
Perform episiotomy
When extracting a fetus, what can you do to prevent hip lock?
Rotate the calf as the head emerges
What is a common consequence of making an episiotomy incision too long?
Pneumovagina
Which has less potential impact on future fertility and milk production, a fetotomy or c-section?
Fetotomy
A fetus is breech and dead with the uterus contracted around it, do you perform a c-section or fetotomy?
C-section, not a candidate for fetotomy if uterus has contracted around the fetus
Which of these is not required for a fetotomy?
a. Epidural
b. Assistance
c. Lubrication
d. Lateral recumbent position
e. A stomach tube
d. Lateral recumbent position
Usually done standing, if cow is lying down then vet has to lie down
What’s this?

Fetotome
What form of fetotomy is most common, full or partial?
Partial
Amputation of head, neck, or limbs
T/F: When dividing the pelvis during a full fetotomy, it must be divided diagonally.
True
Which 2 exbolics can be used in fetotomy aftercare?
Oxytocin
Lutalyse
What are the 5 most common reasons for performing a C-section?
- Fetal oversize
- Incomplete cervical dialtion or cervical closure on a dead fetus
- Irreducible uterine torsion
- Fetal deformity
- Errors of fetal presentation, postion, or posture
How should you deliver a fetus with schistosomus reflexus, fetotomy or c-section?
C-section
What structure must you watch out for when performing a ventral midline/paramedian approach to a c-section? Is this critial in dairy or beef cows?
Milk vein / Subcutaneous abdominal vein
Dairy cows
Why is xylazine contraindictd for a c-section?
Causes smooth muscle (i.e. uterine) muscle contraction
In addition to providing analgesia, what purpose does an epidural serve when performing a c-section?
Reduces straining
Which approach for a c-section can be problematic if the calf is very small or if the pregnancy is in the right horn?
Standing flank
What pattern is used to close the uterus after a c-section? What are the 3 goals of uterine closure?
Inverted pattern Utecht, Cushing, Lembert
- Serosa to serosa apposition
- Tight seal (no leaking)
- Minimal suture/knot exposure
What size suture do you use to close the uterus?
1 or #2
Note: NOT the same as 1.0 or 2.0
What is another name for the Baseball stitch?
Utrecht pattern
Why is it better to leave the placenta intact when performing a c-section?
Separating caruncles and cotyledons causes a lot of hemorrhage
What is the only NSAID that is labeled for use in cattle?
Flunixin meglumine
Herefords and Shorthorns are predisposed to which heritable periparturient condition?
Vaginal prolapse
How many grades of vaginal prolapse are there?
4
What is the grade of vaginal prolapse is it if the cervix and most of the vaginal floor protrude permanently?
Grade 3
What grade of vaginal prolapse is this?
Grade 4
Note necrosis indicating that the tissues have been exposed for a prolonged period
What can be used to reduce edema of a vaginal prolapse?
Sugar and squeezing
What can be done to prevent vaginal prolapse? Which ones allow for parturition without removal
Buhner technique
Halstead technique (Horizontal mattress)
Bootlase
Jorvet prolapse kit - parturition without removal
Minchex technique - parturition without removal
What’s this?
Buhner needle
What technique is this? What is it’s purpose?
Halsted
To prevent vaginal prolapse
What technique is this? What is it’s purpose?
Minchev Technique
For anchoring the dorsal vagina to prevent vaginal prolapse
When performing a c-section which approach allows the cow to stay standing and gives moderate exposure?
a. Ventral midline
b. Left flank
c. Left paramedian
d. Right paramedian
b. Left flank
T/F: A cow with a history of vaginal prolapse is more likely to develop a uterine prolapse.
False, no relationship between these
What are predisposing factors for uterine prolapse (there are at least 4)?
Dystocia
Hypocalcemia
Uterine inertia
Straining
Using a calf-jack too aggressively (Most common cause)
Uterine prolapse begins with the inversion of ___________.
One uterine horn
What is the risk of trailering a cow with a uterine prolapse?
Rupture of the middle uterine artery
Which is why you must travel to the farm
In what position should a recumbent cow with a uterine prolapse be kept in?
In sternal with caudally extended hindlimbs (Frog leg)
To tilt pelvis forward
What is given after reduction of a uterine prolapse to prevent recurrence?
Oxytocin
T/F: Recurrence is likely in a cow who has had a uterine prolapse in the past.
False
What differentiates the degrees of perineal lacerations?
Degree of tearing
If the tissue is contaminated, how long should you wait to surgically repair a second degree perineal laceration? How long should you wait to repair a third degree laceration?
6-8 weeks for both
What do you administer in cases of an OB injury resulting in vaginal bleeding?
Oxytocin
How long does uterine involution usually take postpartum?
a. 10-15 days
b. 25-50days
c. 30-60 days
d. 7-14 days
b. 25-50 days
What is the most promising therapy for retained fetal membranes?
Collagenases injected into the umbilical artery
Not approved in USA